Phakathi nalesi sikhathi sokukhulelwa, ucabanga kakhulu ngempilo yakho kanye nempilo yengane yakho engakazalwa, akunjalo? Igama esivame ukulizwa, futhi ngezinye izikhathi elithusayo kancane, elithi 'isifo sikashukela sokukhulelwa'. Kuvamile ukuzizwa wesaba kancane uma uzwa leli gama. Kodwa empeleni lokhu akuyona into okufanele uyesabe, uma kuphathwa kahle, ungaletha umntwana onempilo kuleli zwe ngaphandle kwezinkinga. Ngakho-ke, ake sixoxe ngalokhu ngendlela elula necacile namuhla.
Kuyini isifo sikashukela sokukhulelwa?
Kalula nje, lolu uhlobo lwesifo sikashukela lwesikhashana abanye besifazane abaluthola ngesikhathi sokukhulelwa kuphela. Ngokuvamile luvela ngasekupheleni kokukhulelwa, cishe emavikini angama-24. Into ebalulekile ukuthi abesifazane abathola lesi simo babengenaso isifo sikashukela ngaphambi kokukhulelwa. Ngakho-ke akusona isimo sokuphila konke. Lesi simo sivame ukuphela ngokuphelele ngemva kokuzalwa komntwana.
Isizathu salokhu ukuthi ama-hormone athile akhiqizwa emzimbeni ngesikhathi sokukhulelwa aphazamisa kancane ukusebenza kwe-insulin, elawula ushukela emzimbeni. Ngakho-ke kubaluleke kakhulu ukuthi wonke umama okhulelwe aqaphele lokhu futhi enze izivivinyo ezidingekayo.
Kungani utshela wonke umuntu ukuthi abhale lolu vivinyo?
Ungase ucabange, "Angikho engozini, kungani ngidinga ukwenza lokhu kuhlolwa?" Kodwa-ke, isifo sikashukela sokukhulelwa singavela ngisho nakubantu abangenazo izici eziyingozi. Yingakho, eSri Lanka nakwamanye amazwe amaningi emhlabeni jikelele, lokhu kuhlolwa kunconywa kubo bonke abesifazane abakhulelwe .
Lolu vivinyo lwenzelwe ukuthola lesi simo kusenesikhathi nokuvimbela izinkinga kuwe nakumntanakho. Uma sitholakale kusenesikhathi, singalawulwa ngokushintsha ukudla okulula.
Lolu vivinyo lwenziwa nini?
Udokotela wakho uvame uku-oda lokhu kuhlolwa phakathi kwamasonto angama-24 nama-28 okukhulelwa.
Kodwa-ke, uma uke waba nalolu hlobo lwesifo sikashukela ngesikhathi sokukhulelwa kwangaphambilini, noma uma udokotela wakho ecabanga ukuthi unezinye izici eziyingozi, njengomuntu emndenini wakho onesifo sikashukela, angase akuncomele ukwenza lokhu kuhlolwa kusenesikhathi, njengangaphambi kwamasonto ayi-13 . Udokotela wakho uzokunikeza iseluleko esingcono kakhulu ngalokhu.
Kwenziwa kanjani lokhu kuhlolwa kwe-OGTT?
Lokhu kuhlolwa kubizwa ngokuthi i-Oral Glucose Tolerance Test noma (OGTT) . Kwaziwa kakhulu ngokuthi "ukuhlolwa kwamanzi kashukela". Yilokho kanye okwenzekayo.
Cabanga ukuthi kwenzekani uma uya emtholampilo.
1. Okokuqala, uzonikezwa uketshezi olumnandi (ngezinye izikhathi olubizwa ngokuthi "i-Glucola") olunamagremu angu-50 e-glucose ancibilikisiwe kuwo. Lokhu kuzoba mnandi kancane, kodwa ungakuphuza ngokushesha.
2. Ngemva kokuphuza lolu ketshezi olumnandi, kufanele ulinde cishe ihora. Phakathi nalesi sikhathi, umzimba wakho umunca lo shukela, okwenza izinga likashukela egazini lakho likhuphuke kancane.
3. Ngemva kwehora elilodwa nje, kuzothathwa isampula encane yegazi emthanjeni osengalweni yakho.
4. Leli sampula legazi liyahlolwa ukuze kubonwe ukuthi umzimba wakho ulawule kanjani (wawusebenzisa kanjani) inani le-glucose oyiphuzile.
Ungayiqonda kanjani imiphumela yokuhlolwa?
Yilapho abantu abaningi benenkinga encane khona. Abanye abantu besaba lapho bethola umbiko wabo wokuqala wokuhlolwa. Ake sibone ukuthi singakuqonda kanjani lokhu ngqo.
Ukuhlolwa kokuqala (Ukuhlolwa Kokuhlola)
Uma izinga likashukela egazini elithathwe ihora elilodwa kamuva liphakeme kune -130mg/dL noma i-140mg/dL (leli nani lingahluka kancane kuye ngelebhu futhi kuye ngombono kadokotela), udokotela uzokutshela ukuthi udinga ukwenza olunye ukuhlolwa okuqinisekisayo.
Kubaluleke kakhulu: Izinga likashukela eliphakeme kancane ekuhlolweni kokuqala akusho ukuthi unesifo sikashukela sokukhulelwa. Kusho ukuthi "sidinga ukuphenya ngalokhu kabanzi." Ngakho ungesabi.
Okwesibili, Ukuhlolwa Kokuqinisekisa
Kuphela uma imiphumela yokuhlolwa kokuqala iphezulu, kuzodingeka ubhale lolu vivinyo lwesibili. Lolu luhlukile kancane kolokuqala.
| Isici | Ukuhlolwa kokuqala (Ukuhlolwa Kokuhlola) | Ukuhlolwa kwesibili (Ukuhlolwa Kokuqinisekisa) |
|---|---|---|
| Ukuzila ukudla | Ngokuvamile akudingeki. | Kuyadingeka ngempela (amahora angu-8-10). |
| Inani le-glucose elisetshenzisiwe | Amagremu angu-50 (50g) | Amagremu ayi-100 (100g) |
| Isikhathi sokuhlolwa | Ihora eli-1 | Amahora ama-3 |
| Inani lezikhathi zokuthatha igazi | Kanye (ngemva kwehora) | Izikhathi ezine (ngaphambi kokuphuza, ihora elilodwa ngemva kwalokho, amahora amabili ngemva kwalokho, amahora amathathu ngemva kwalokho) |
Uma okungenani amasampula amabili egazi amane athathwe kulolu vivinyo lwesibili engaphezu kwezinga elinconywayo , udokotela uzoqinisekisa ukuthi unesifo sikashukela sokukhulelwa.
Ngisho noma kuqinisekisiwe ukuthi unalokhu, ungesabi. Udokotela wakho kanye nochwepheshe wezokudla bazokweluleka ngohlelo lokudla kanye nohlelo lokuzivocavoca olufanele wena. Uma ulandela leyo miyalelo ngqo, wena nomntwana wakho ningadlula kulesi sikhathi ngaphandle kokulimala.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela sokukhulelwa yisimo esilawulekayo esinqunyelwe ekukhulelweni. Ungakhathazeki ngaso ngokungadingekile.
- Ukuhlolwa Kokubekezelela I-Glucose Yomlomo (OGTT) kuwukuhlolwa okuphephile nokujwayelekile okunconywayo kubo bonke abesifazane abakhulelwe.
- Umphumela ophezulu ekuhlolweni kokuqala (ukuhlolwa okungu-50g) akusho ukuthi unesifo sikashukela. Kudingeka ukuhlolwa kwesibili (ukuhlolwa okungu-100g) ukuqinisekisa lokhu.
- Uma unemibuzo ngalokhu, kunokuba wesabe lokho okufundayo ku-inthanethi, khuluma nodokotela wakho ngqo . Uzokunikeza iseluleko esifanele.
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